Inderal (Propranolol). How to wean off inderal

Drug Information: Indications, Side Effects, Warnings

Category:  Hypertension, Cardiovascular Diseases, Migraine

The essential and renal hypertension, angina, arrhythmia. Also: migraine, anxiety, essential tremor. The drug used in the treatment: hyperthyroidism, hypertrophic obstructive cardiomyopathy, pheochromocytoma (alpha-blockers).Inderal 50 tablets

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Pharmacological group:


Nosological classification (ICD-10)

C74 Malignant neoplasm of the adrenal gland
E05 Thyrotoxicosis [hyperthyroidism]
F41 Other anxiety disorders
G25.0 Essential tremor
G43 Migraine, inderal la sustained release capsules
I10 Essential (primary) hypertension
I15 Secondary hypertension
I20 angina [angina pectoris]
I42.1 Obstructive hypertrophic cardiomyopathy
I49.9 Irregular heartbeat, unspecified
R07.2 Pain in the Heart


Structure and Composition:

1 coated tablet contains: 10 mg of propranolol hydrochloride, 20 mg, 40 mg,
in plastic bottles of 50 and 100 pieces.
in a cardboard box: 1 bottle.



Hypersensitivity, cardiogenic shock, bronchospasm and asthma history. The drug is contraindicated in case of: metabolic acidosis, peripheral arterial circulatory disorders, bradycardia, AV block. It prohibited for: the sick sinus syndrome, decompensated heart failure, Prinzmetal angina, hypotension, pregnancy, lactation.

Side effects:

Often hallucinations, psychosis, bradycardia, thrombocytopenia. Sometimes: visual disturbances, withdrawal syndrome, heart failure, impairment of conduction, orthostatic hypotension, cold extremities. Rare: intermittent claudication, Raynaud’s syndrome, dizziness, sleep disturbances, hypoglycemia, diarrhea disorders, psoriasis, paresthesia, bronchospasm, alopecia. In the event of adverse symptoms, you should see a doctor immediately.


— Hypertension: initial dose — 80 mg 2 times a day, the average dose — 160-320 mg / day (maximum 640 mg / day).

— Angina, anxiety, migraine, tremor: initial dose — 40 mg 2-3 times a day, the average dose of 80-240 mg / day;

— Arrhythmias, obstructive cardiomyopathy, thyrotoxicosis: 10-40 mg 3-4 times a day (up to 240 mg / day);

-Pheochromocytoma — 30 mg / day.

Children under 12 years:

-arrhythmia, pheochromocytoma, thyrotoxicosis — 0,25-0,5 mg / kg 3-4 times per day

-migraine — 20 mg 2-3 times a day.


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